Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11061 | Date 24/01/2024 |
| Token No | SM/24-25/16908 15/06/2024 | Serial | 003 |
| Patient Name | Mrs. ANJALI GUPTA | Contact No | 9875396498 |
| Address | 96 RB SARANI | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||